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One of the more common symptoms of B12 deficiency is fatigue, which can significantly reduce energy levels
That is why treatment for a confirmed deficiency often starts with a higher frequency, sometimes weekly, for a defined period
Given the rise in autoimmunity, side effects of multiple medications affecting this pathway and crashing levels of soil cobalt due to glyphosate this why this pathway is wrecked in so many people and why injection are needed by so many and often at high frequency.